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Vol 14, 2025
Pages: 141 - 147
Preliminary report/Short communication
Economics and Management Editor: Darjana Sredić
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Received: 20.08.2025. >> Accepted: 29.10.2025. >> Published: 21.11.2025. Preliminary report/Short communication Economics and Management Editor: Darjana Sredić

POSSIBILITIES AND ASPECTS OF INTEGRATION IN PUBLIC HEALTH CARE

By
Željko Grublješić Orcid logo ,
Željko Grublješić
Contact Željko Grublješić

Faculty of Economy, University PIM Banja Luka , Banja Luka , Bosnia and Herzegovina

Mustafa Avdagić ,
Mustafa Avdagić

Opća bolnica Sanski Most, Opća bolnica Sanski Most , Sanski Most , Bosnia and Herzegovina

Jelena Jovović
Jelena Jovović

Faculty of Economy, University PIM , Banja Luka , Bosnia and Herzegovina

Abstract

The integration of public health institutions illustrates an insufficiently implemented process, and the public health network is not based on functional integration. There are barriers between public health institutions, and their removal has not yet met the needs of users.

 

Legal provisions provided opportunities for integrating health institutions that include parts of primary and secondary care levels. In Bosnia and Herzegovina, there is no single public health institution organized according to the proposed model. Duplication of medical services is common when patients move from one health institution to another, which results in a waste of time and money.

 

The subject of research is primary and secondary public health institutions and their optimal organization in terms of costs and quality through integration.

 

The research problem is use of different organizational structures in healthcare, limited by lack of personnel, equipment, funding, and rising costs.

 

The result of the research suggests that different organizational models for public health can achieve better utilization of available resources in primary and secondary healthcare. Criteria for healthcare integration include economic, functional, medical and organizational aspects, but their implementation depends on the will of healthcare policymakers.

References

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Jovičić, K. (2014). Sistemi zdravstvene zaštite i zdravstvenog osiguranja. Institut za uporedno pravo. Beograd: Institut Za Uporedno Pravo.
Martić, M., & Đukić , O. (2018). Sistemi zdravstvene zaštite u BiH: finansijski izazovi i opcije za reformu. Sarajevo: Fridrih-Ebert-Stiftung.
Milosavljević, M. (2012). Strategijski menadžment- analiza, izbor, promjena. Beograd: CID Ekonomski fakultet.
Zakon o zdravstvenoj zaštite Federaciji Bosne i Herercegovine, Službene novine Federacije BiH", broj 46/2010 i 75/2013. (2013).

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